P Praxis·MD
● Active Type 1 · Individual

Carolina Marie Manceaux, PA-C

Physician Assistant·Valdosta, GA· NPI 1124736319 · Enumerated 2022 · 3 years on NPI
Manceaux is 1 of 33 physician assistant providers in Valdosta and 1 of 4616 in Georgia.
NPI age
3 years
Enumerated 2022-11-07
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-11Enumerated in NPPES
2022 2026

Where they practice

Practice location
2409 N Patterson St
Valdosta, GA 316022512
📞 2292594369
Mailing address
5323 Harry Hines Blvd
Dallas, TX 753909090

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #11461 taxonomy 363A00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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